The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 13F

FORM 13F INFORMATION TABLE
OMB APPROVAL
OMB Number: 3235-0006
Estimated average burden
hours per response: 23.8
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8
VALUE SHRS OR SH/ PUT/ INVESTMENT OTHER VOTING AUTHORITY
NAME OF ISSUER TITLE OF CLASS CUSIP (x$1000) PRN AMT PRN CALL DISCRETION MANAGER SOLE SHARED NONE
ABBOTT LABS COM 002824100 6,705 77,198 SH   SOLE   77,198 0 0
ACADIA PHARMACEUTCLS COM 004225108 6,180 144,450 SH   SOLE   30,450 0 114,000
AERIE PHARMACEUTIC COM 00771V108 18,094 748,597 SH   SOLE   247,313 0 501,284
AGIOS PHARMACEUTIC COM 00847X104 1,628 34,100 SH   SOLE   34,100 0 0
ALEXION PHARM INC COM 015351109 2,747 25,399 SH   SOLE   25,399 0 0
ALNYLAM PHARMACUETCL COM 02043Q107 10,089 87,600 SH   SOLE   17,900 0 69,700
AMGEN INC COM 031162100 3,954 16,403 SH   SOLE   16,403 0 0
AMICUS THERAPEUTICS COM 03152W109 20,064 2,059,961 SH   SOLE   566,704 0 1,493,257
APELLIS PHARMACEUTIC COM 03753U106 13,944 455,393 SH   SOLE   262,630 0 192,763
APREA THERAPEUTICS COM 03836J102 67,474 1,470,339 SH   SOLE   1,470,339 0 0
ASSEMBLY BIOSCIENCES COM 045396108 14,173 692,700 SH   SOLE   266,499 0 426,201
ASTRAZENECA SPONSORED ADR 046353108 7,868 157,800 SH   SOLE   157,800 0 0
ATRICURE INC COM 04963C209 17,352 533,756 SH   SOLE   161,462 0 372,294
BIOMARIN PHARMAC INC COM 09061G101 18,931 223,901 SH   SOLE   118,901 0 105,000
BIOGEN INC COM 09062X103 9,656 32,542 SH   SOLE   32,542 0 0
BLUEPRINT MEDICINES COM 09627Y109 3,605 45,000 SH   SOLE   0 0 45,000
BOSTON SCIENTIFIC COM 101137107 23,441 518,376 SH   SOLE   200,376 0 318,000
BRISTOL MYERS SQUIBB COM 110122108 14,088 219,474 SH   SOLE   219,474 0 0
CIGNA CORP COM 125523100 10,655 52,107 SH   SOLE   52,107 0 0
CARDIOVASCULAR SYS COM 141619106 9,999 205,782 SH   SOLE   59,200 0 146,582
CHANGE HEALTHCARE IN COM 15912K100 5,943 362,603 SH   SOLE   146,895 0 215,708
COLLEGIUM PHARMACEUT COM 19459J104 15,596 757,847 SH   SOLE   290,091 0 467,756
DR REDDYS LABS LTD ADR 256135203 631 15,554 SH   SOLE   15,554 0 0
EVELO BIOSCIENCES COM 299734103 2,568 632,582 SH   SOLE   201,029 0 431,553
EVOLENT HEALTH INC COM 30050B101 18,093 1,999,172 SH   SOLE   850,030 0 1,149,142
FIBROGEN INC COM 31572Q808 15,732 366,806 SH   SOLE   150,846 0 215,960
GILEAD SCIENCES INC COM 375558103 3,337 51,350 SH   SOLE   51,350 0 0
GLOBAL BLOOD THERA COM 37890U108 13,878 174,594 SH   SOLE   36,841 0 137,753
HMS HOLDINGS CORP COM 40425J101 8,888 300,275 SH   SOLE   121,875 0 178,400
HILL-ROM HLDS INC COM 431475102 13,919 122,599 SH   SOLE   31,500 0 91,099
HOMOLOGY MEDICINES COM 438083107 904 43,681 SH   SOLE   43,681 0 0
IRHYTHM TECHNOLOGIES COM 450056106 9,362 137,500 SH   SOLE   39,500 0 98,000
ILLUMINA INC COM 452327109 3,234 9,750 SH   SOLE   9,750 0 0
IMMUNOMEDICS INC COM 452907108 14,645 692,123 SH   SOLE   220,204 0 471,919
INCYTE CORPORATION COM 45337C102 1,310 15,000 SH   SOLE   15,000 0 0
INSPIRE MED SYS INC COM 457730109 15,213 205,000 SH   SOLE   40,100 0 164,900
LILLY ELI & CO COM 532457108 8,643 65,765 SH   SOLE   65,765 0 0
MERCK & CO INC COM 58933Y105 10,314 113,400 SH   SOLE   113,400 0 0
MOLECULAR TEMPLATES COM 608550109 6,050 432,585 SH   SOLE   133,000 0 299,585
NEXTCURE INC COM 65343E108 7,041 125,000 SH   SOLE   44,427 0 80,573
PRA HEALTH SCIENCE COM 69354M108 7,771 69,915 SH   SOLE   23,115 0 46,800
PTC THERAPEUTICS I COM 69366J200 15,789 328,738 SH   SOLE   105,181 0 223,557
PHASEBIO PHARMACEU COM 717224109 1,088 178,000 SH   SOLE   178,000 0 0
PORTOLA PHARMACEUTIC COM 737010108 14,476 606,189 SH   SOLE   184,547 0 421,642
R1 RCM INC COM 749397105 15,045 1,159,073 SH   SOLE   270,773 0 888,300
REATA PHARMACEUTIC COM 75615P103 16,487 80,650 SH   SOLE   31,229 0 49,421
SAGE THERAPEUTICS COM 78667J108 552 7,650 SH   SOLE   7,650 0 0
SAREPTA THERAPEUTICS COM 803607100 7,324 56,760 SH   SOLE   23,760 0 33,000
SEATTLE GENETICS INC COM 812578102 1,714 15,000 SH   SOLE   15,000 0 0
SILK ROAD MEDICAL COM 82710M100 6,873 170,200 SH   SOLE   65,000 0 105,200
STEMLINE THERAPEUT COM 85858C107 10,876 1,023,159 SH   SOLE   411,859 0 611,300
TABULA RASA HEALTH COM 873379101 10,086 207,182 SH   SOLE   61,582 0 145,600
TANDEM DIABETES CARE COM 875372203 20,370 341,714 SH   SOLE   75,914 0 265,800
TELADOC HEALTH COM 87918A105 25,006 298,692 SH   SOLE   75,315 0 223,377
TELEFLEX INC COM 879369106 10,938 29,057 SH   SOLE   7,400 0 21,657
THERMO FISHER SCI COM 883556102 3,817 11,750 SH   SOLE   11,750 0 0
UNITEDHEALTH GRP INC COM 91324P102 6,092 20,721 SH   SOLE   20,721 0 0
VERICEL CORP COM 92346J108 2,401 138,000 SH   SOLE   138,000 0 0
VERTEX PHARMACEUTICL COM 92532F100 3,519 16,071 SH   SOLE   16,071 0 0
VOCERA COMMUNICATI COM 92857F107 12,156 585,528 SH   SOLE   174,946 0 410,582
ZIMMER BIOMET HLDS COM 98956P102 7,372 49,249 SH   SOLE   49,249 0 0
MEDTRONIC PLC SHS G5960L103 6,257 55,151 SH   SOLE   55,151 0 0
MEIRAGTX HLDINGS PLC COM G59665102 1,868 93,306 SH   SOLE   93,306 0 0
UNIQURE N.V. SHS N90064101 6,270 87,500 SH   SOLE   29,500 0 58,000
UNUM THERAPEUTICS COM 903214104 106 146,745 SH   SOLE   146,745 0 0